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Address Line 1: _________________________________________________________________________________________________________________________________________________

Address Line 2: _________________________________________________________________________________________________________________________________________________

Middle Name(s) ___________________________________________________Last Name(s)____________________ ___________________________________________________________

Part 1 PERSONAL INFORMATION

Date of Birth (dd/mm/yy) ______ /______ / ______ Gender [ ] Male [ ] Female

Part 2 CONTACT DETAILS Mailing Address - This is my [ ] Home [ ] Business

Title: (Dr/Mr/Mrs/Ms/Miss/Other) _______________ First Name_______________________________________ Preferred Name _________________________________________

Important - You must provide your Curriculum Vitae detailing information of the business experience that you think will be of significance to your application, eg. work in

reporting to management; financial management; information systems; financial modelling; internal auditing; pricing; logistics; cost analysis etc. (These must be detailed in

attached Curriculum Vitae)

Home ________________________________ Mobile: ____________________________ Email ______________________________________________________________________________

Employer’s Address _____________________________________________________________________________________________________________________________________________

Suburb ______________________________ City _________________________________ State _______________ Postcode ___________________ Country ______________________

Part 3 PRESENT OR MOST RECENT EMPLOYMENT

Employer’s Name __________________________________________________________________________________________ Date of Appointment _____________________________

Post Held/Current Occupation/Situation________________________________________________________________________________________________________________________

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Please complete this form in BLOCK CAPITAL

LETTERS and send to Institute by post or

scan-email. Do not post any original

documents with this form. The Institute will

retain all materials sent with this form.

Students are required to send appropriate

fees in AUD by Bank Draft, or Credit Card

details with this application.

Application for CMA Australia Membership

[ ] -OR- Research Assignment (AUD $110)* Due date: ___________

Stage 4 GMA Students - Exam Fee AUD $55 per unit

Non Refundable Application Fee (Compulsory) AUD $99

** Available only to students attending the face-to-face program with 20+ years experience

[ ] Financial Modeling (AUD $55) Exam date:___________

* Available only to students attending the face-to-face program with 10+ years experience

Student Membership Fee (Compulsory) AUD $198

[ ] Strategic Business Analysis (AUD $55) Exam date:___________

[ ] Strategic Cost Management (AUD $55) Exam date:___________

STUDENT MEMBERSHIP AND UNIT EXAM/EXEMPTION FEES

[ ] -OR- Profile Assessment Fee (AUD $110)**

Please tick one grade of membership application only

CMA Program Units - Exam/Assignment/Exemption/Profile Assessment

[ ] Accounting Control Systems (AUD $55) Exam date:___________

[ ] Financial Information Systems (AUD $55) Exam date:___________

[ ] Accounting Principles and Practice (AUD $55) Exam date:___________

[ ] Organizational Management (AUD $55) Exam date:___________

Stage 3 for GMA Students - Exam Fee AUD $55 per unit

[ ] Marketing Management (AUD $55) Exam date:___________

[ ] Financial Accounting (AUD $55) Exam date:___________

[ ] Information Management (AUD $55) Exam date:___________

[ ] Financial Statement Analysis (AUD $55) Exam date:___________

[ ] International Business Law & Governance (AUD $55) Exam date:___________

[ ] Business Analysis & Audit (AUD $55) Exam date:___________

[ ] Strategic Management (AUD $55) Exam date:___________

Stage 2 for Adv Diploma Students - Exam Fee AUD $55 per unit

[ ] Financial Economics(AUD $55) Exam date:___________

[ ] International Business Taxation (AUD $55) Exam date:___________

[ ] Managerial Accounting (AUD $55) Exam date:___________

Stage 1 for CAT Students - Exam Fee AUD $55 per unit

[ ] Financial Management (AUD $55) Exam date:___________

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For Official Purposes Only

(Applicants do not complete)

_______________________________________________________________

Received On

_______________________________________________________________

Consideration On:

_______________________________________________________________

Ref No:

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Part 5 EDUCATION BACKGROUND (Compulsory)

at (University or CMA Australia Recognized Provider Institution) ______________________________________________________________________________________________

in (country) ____________________________ during the month of ____________ of ___________ year, and my Student Id is ___________________________________________

GMA Conversion (Stage 4) applicants - all students should have a degree or professional Qualification in any field other than accounting

GMA applicants – Satisfactory completion of a High School Certificate (e.g. VCE, GCE, IB, SAT etc.)

[ ] Registered Cost Accountant study

[ ] Certified Accounting Technician study

[ ] Graduate Management Accounting study

[ ] Registered Business Administrator study

[ ] GMA Conversion program study

(Academic and Vocational) Please list University and Post School qualifications either obtained or currently being undertaken that will fulfill the

educational requirements of the Graduate Member Program. These might include degrees, graduate diplomas, and any professional or qualifications)

NOTE:

CMA applicants - all students should have a degree or professional qualification in accounting or an MBA

I am undertaking the below CMA Australia program/course

[ ] Certified Management Accounting study

Part 4 UNDERTAKING THE PROGRAM EXAMINATION REGISTRATION

2 _______________________________________________________________________________________________________________________________________________________________

Part 6 NON REFUNDABLE APPLICATION & EXAM/ASSIGNMENT/EXEMPTION/PROFILE ASSESSMENT FEE

I would like to pay the following

plus AUD $___________ = _______ units x AUD $55 (Exam/Assignment/Exemption/Profile Assessment Fee)

plus AUD $ 198 for Student Membership

[ ] Application fees paid to CMA Australia Recognised Provider Institution in local currency _________________________________________________________________

Cheque Number __________________________ Bank __________________________________________________________________ Date_____________________________

Qualifications Institution Year Grade

(Please provide transcripts of Awards obtained)

AUD $ 99 for Application fee

TOTAL AUD $___________ fees payable to CMA Australia by

[ ] Bank Draft payable to - Institute of Certified Management Accountants (Aus)

1 _______________________________________________________________________________________________________________________________________________________________

Part 7 ACCEPTANCE OF RULES

Cardholder Name _______________________________________________________________ Signature ______________________________________________________

Card No. ____ ____ ____ ____-____ ____ ____ ____-____ ___ ____ ____-____ ____ ____ ____ Expiry Date _______________

I ___________________________________________________________________________ (name) desire to become a student member with the CMA Australia. In the

event of my admission as a member, I agree to be bound by the Rules of the Institute of Certified Management Accountants for the time being in force.

[ ] MasterCard [ ] Visa

Signature of Applicant _______________________________________________________________________________________________ Date_____________________________________

2

¨ Duly filled form & application fees

¨ CV (maximum 5 pages)

¨ Copy of academic transcripts

Application Checklist

¨ Signatures (part 7)

¨ Copy of membership certificates

¨ Other supporting documents

The Institute of Certified Management Accountants

The Executive Director,

CMA House, Unit 5, 20 Duerdin Street,

Email: info@cmawebline.org Web: www.cmawebline.org

Phone +61 (3) 85550358 Fax +61 (3) 85550387

Clayton North, Victoria 3168, AUSTRALIA. or

CMA Australia Head Office

Send all applications by fax, scan

& email, or mail to:

Any of our Recognised Provider

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